Une kurwadziwa kusingatsungiririki mumaoko nemakumbo here? Ngatidzidzei nezve kuvhiyiwa uku kweFasciotomy!

Fungidzira kuti wakakuvara gumbo rako zvakanyanya mutsaona. Mushure mechinguva, tsandanyama dzakakomberedza kukuvara dzinozvimba, zvichikonzera kurwadziwa kusingatsungiririki, uye gumbo rako rinonzwa kusanzwa. Uku hakusi kurwadziwa kwakajairika kunokonzerwa nekukuvara, asi chimwe chinhu chinopfuura izvozvo. Uku kunogona kuva emergency yekurapa. Ndipo panodiwa kuvhiyiwa kwatiri kutaura nezvako nhasi, kunonzi fasciotomy. Uku kungave kuvhiyiwa kwekukurumidzira kuponesa ruoko rwako, gumbo, kana kunyange hupenyu hwako.

Chii chinonzi Fasciotomy?

Zvichitaurwa zviri nyore, fasciotomy inzira yekuvhiya yekuderedza kumanikidzwa kwakatenderedza tsandanyama. Izvi zvinosanganisira kucheka membrane yakasimba (fascia) yakakomberedza tsandanyama, woburitsa kumanikidzwa kuri mukati.

Ngatitsanangurei izvi zvishoma. Tsandanyama, tsinga, netsinga dzeropa dziri mumaoko nemakumbo edu zvese zvakaputirwa pamwe chete mu membrane yakasimba uye yakasimba. Funga nezvazvo sechivharo chakakomberedza soseji. Mukurapa, tinodana membrane iyi yakaoma kuti 'fascia' . Nzvimbo yese iri mukati meiyi fascia ine tsandanyama, tsinga, netsinga dzeropa inonzi 'chikamu chetsandanyama.'

Zvino fungidzira, chii chinoitika kana mukati mechikamu ichi mukava nekuzvimba kwakanyanya nekuda kwetsaona? Nekuda kwechikamu ichocho chakamanikana chefascia, kuzvimba hakuna nzvimbo yekubuda. Ipapo kumanikidzwa kuri mukati mechikamu ichocho kunowedzera zvakanyanya. Izvi ndizvo zvatinodaidza kuti 'compartment syndrome' . Nekuda kwekumanikidzwa uku kwakanyanya, mitsipa yeropa iri munzvimbo iyoyo inova yakasimba, uye kuyerera kweropa kuenda kutsandanyama netsinga kunogona kumira. Kana izvozvo zvikaitika, nyama iyoyo inotanga kufa. Ndipo panoitwa fasciotomy, kucheka membrane iyoyo yakamanikana yefascia, kuburitsa kumanikidzwa kuri mukati, uye kudzoreredza kuyerera kweropa.

Chirwere ichi che compartment syndrome chinoitika sei?

Mamiriro ezvinhu aya anogona kuitika nenzira mbiri huru.

1. Acute Compartment Syndrome: Iyi ndiyo nyaya ine njodzi zvikuru uye inongoerekana yaitika. Inowanzoitika mushure metsaona yakakomba. Semuenzaniso, chirwere ichi chinogona kuitika nekuda kwekuzvimba kwakanyanya mushure metsaona yemotokari, senge pfupa rakatyoka kana kumanikidzwa kwakanyanya kwetsandanyama. Ichi chirwere chinoda kurapwa nekukurumidza.

2. Chirwere Chisingaperi Chemukamuri: Ichi chirwere chinokura zvishoma nezvishoma. Chinowanzoonekwa muvanhu vanoshandisa tsandanyama zvakanyanya, vakaita sevatambi nemasoja. Marwadzo anowedzera kana munhu achiita maekisesaizi uye zviri nani kana akambozorora. Kunyangwe zvisiri zvekukurumidzira, zvinogona kukura nekufamba kwenguva.

Chii chinoitika usati wavhiyiwa uye panguva yekuvhiyiwa?

Sezvo Acute Compartment Syndrome iri emergency, fasciotomy haiwanzo rongwa pachine nguva. Paunopinda muEmergency Treatment Unit (ETU) yechipatara, vanachiremba vanoongorora chirwere ichi zvichienderana nezviratidzo zvako. Kana vangoona zviratidzo zvakaita sekurwadziwa kusingatsungiririki, kusanzwa, uye kushaya simba muruoko rwako kana gumbo, timu yekuvhiya ichakurumidza kukuendesa kuchipatara.

Kuvhiyiwa uku kunoitwa pasi peanesthesia, zvinoreva kuti hauzonzwi kana kurangarira chero chinhu. Chiremba wezvekuvhiya acha:

• Kuchekwa kweganda kamwe chete kana kaviri kunoitirwa pamusoro penzvimbo yetsandanyama yakakodzera.
• Zvadaro fascia iri mukati inoonekwa, yochekwa, uye kumanikidzwa kunosunungurwa. Zvingave zvakakosha kuburitsa zvikamu zvakasiyana-siyana nenzira iyi.
• Zvadaro, vanoongorora chero nyama yakakuvara kana yakafa voibvisa. Vanonyatsoongorora kana ropa radzoka.
• Kuchekwa uku hakuwanzo kukwenywa nekukasika . Zvinotora mazuva akati wandei kuti kuzvimba kupere zvachose, saka ronda rinosiyiwa rakavhurika. Dzimwe nguva mushonga unonzi "negative pressure wound therapy" unoshandiswa kuderedza kuzvimba nekukurumidza nekubvisa mvura kubva paronda.
• Mushure memazuva mashoma, ronda rinoongororwazve uye mamwe matishu akafa anobviswa.
• Kana kuzvimba kwapera, ronda rinovharwa. Dzimwe nguva, kana ganda risina kukwana kufukidza ronda, ganda rinobva kune imwe nhengo yemuviri rinotorwa roiswa panzvimbo imwe ('skin graft').
• Pakupedzisira, ronda racho ranyatsogadzirwa uye muchaudzwa kuti bhandeji rinofanira kugara rakapfekwa kwenguva yakareba sei.

Ndezvipi zvakanakira uye njodzi dzekuvhiyiwa?

Kufanana nekuvhiyiwa kupi zvako, fasciotomy ine zvayakanakira pamwe nenjodzi dzayo. Ngatinyatsoongororai.

Chii chinoitika mushure mekuvhiyiwa? Sei kurovedza muviri kuchikosha?

Unganzwa kurwadziwa apo mushonga weanesthesia unopera. Chiremba wako achakupa mishonga inoderedza marwadzo kuti akubatsire kudzora kurwadziwa kwacho. Mushure mekuvhiyiwa, kurapwa kwemuviri kwakakosha kuti ukubatsire kuwana simba rekufamba uye kufamba zvakanaka munzvimbo yacho. Kana ukasadaro, majoini kana tsandanyama zvinogona kuoma uye kusakwanisa kufamba zvakanaka.

Mubvunzo unobvunzwa nevamwe ndewekuti, "Ko fascia inodzokazve here mushure mekuchekwa?" Ehe, inodzoka. Asi inoumba mavanga. Ndosaka zvichikosha kuchengetedza nzvimbo iyoyo yakatambanudzwa zvakanaka kuburikidza nekurapa nemuviri.

Zviratidzo zvinoda kurapwa nekukurumidza

Kana wakakuvara zvakanyanya kana kuvhiyiwa uye ukaona chimwe chezviratidzo zvinotevera, zvakakosha zvikuru kuenda kuchipatara cheEmergency Department (ETU) nekukasika .

Zviratidzo zvinoda kutarisirwa nekukurumidza:

• Kurwadziwa kwakanyanya, kusingatsungiririki, kunopfuura mwero wekukuvara .
• Kuoma ruoko kana gumbo kwenguva pfupi, zvichireva kusakwanisa kufambisa ruoko kana gumbo.
• Kurwadziwa kusingawanzoitiki, kunorwadza zvakanyanya kana tsandanyama dzichitambanudza.
• Kunzwa kwekusanzwa, kunzwa kwekukwenya (paresthesia).

Zvakajairika kuti munhu wese atye kana akaudzwa kuti anofanira kuvhiyiwa nekukurumidza seizvi. Asi yeuka, fasciotomy ndiyo mhinduro yakachengeteka uye inoshanda zvikuru ye compartment syndrome. Kana uine mibvunzo kana zvinokunetsa, taura nachiremba wako nezvazvo pachena. Varipo kuti vakubatsire.